Kuzvimba makumbo pazasi ibvi: zvinokonzera uye kurapwa

Pane kufanana nevechiduku kuti rezasi muzvidimbu edema chokuita chete kunyanyisa mvura yaunodya uye ndakagara mararamiro. Kana uine kuzvimba makumbo pazasi mabvi, zvikonzero zvingava zvakawanda anovhundutsa. Kutaura zvazviri, pamberi chiratidzo ichi kunogona kuva muedzo harbinger pamusoro zvemwoyo chirwere, chirwere cheitsvo, chiropa, vascular anogumbura maronda, bundu compression iliac mutsinga uye zvimwe zvirwere zvakakomba.

Zvakanaka vakaperekedza Diagnostics kubvumira nguva kuziva zvinokonzera chirwere uye kusarudza vanobudirira nenguva kurapa.

zvakanaka ventricular kukundikana

gumbo kuzvimba chingava nokuda zvakarurama ventricular kukundikana. Muchiitiko ichi:

• Kupfupika mweya, ungaderedza kugona kuita dzose mumuviri mutoro (vaikwira nezvikwiriso, vachifamba). Kuneta uye kuneta anokonzerwa okisijeni kushayiwa nokuda chakaremara tishu perfusion.
• Lower gumbo edema kuitika.

Ngatikurukurei, nokuti chero chikonzero, kuzvimba makumbo pazasi ibvi rworudyi ventricular kukundikana. Nokuti kuipa ventricular contractility kwakakanganiswa zvakakwana ropa rive nhengo uye munyama, panouya activation pamusoro sympathoadrenal ino uye nhete kuti lumen pakati venules uye arterioles, kuwedzera kwemwoyo. Achipindura vasoconstriction kunowedzera BP, zvaanopa simba iri renin-angiotensin-aldosterone hurongwa, zvinoderedza ropa aibuda renal, pane kunonoka kuti yavaibvisa uye mvura, vachiwedzera kweropa nemidziyo, ari hydrostatic kumanikidzwa ari mutsinga.

Kana kuzvimba makumbo pazasi mabvi, zvikonzero zvingava kuti yakawedzera vascular permeability, zvinoderedza mapuroteni usage uye excretion ari weti nokuda itsvo kukuvara joiner.

Cardiogenic edema hwapedyo zvishoma nezvishoma, vakawanda iziviswe vakananga kuguma zuva. Runosvika kumusoro.

Wokutanga zvimba tsoka, pane kugunun'una yokuwandisa, kuzvuzvungudza shangu. Next otekaet Shin. The ganda unotonhora kuti kubata, akacheneruka-cyanotic. Kwave kungoda masokisi, chingamu, shangu simbi dzemabhande emabhurukwa. Kana richingosimba ganda refu anoramba fossa.

Dzinoratidzwa zvakafanana, ichibata edema. Refu nokugara kungaita kuzvimba lumbar nharaunda.

Decompensated rworudyi mwoyo nokukundikana edema kuva zvakapararira. Rinooneka ascites (mvura wakazadza abdominal mhango). Zvingamuka hydrops (zvakadzama mumatenhere ganda uye subcutaneous mafuta).

kuruboshwe ventricular kukundikana

For rworuboshwe ventricular kukundikana aya anonyanya kuratidzwa cardiac asima:

1. Orthopnea (murwere havagoni kuva chinjikira chinzvimbo nokuda rakawedzera pulmonary rirambe richibvira ropa rakawanda uye kukura chakakomba dyspnea).
2. Paroxysmal kuzvirotera dyspnea (zvakaoma odyshechnye kurwisa kuti munguva hope, achiperekedzwa wheezing, wheezing, zvikuru vangakosora, cyanosis chiso).
3. Wheezing mumapapu.
4. Kunonyengedza chando ziya.

Chirwere kubva kuruboshwe ventricular kukundikana

1. Electrocardiography (Zvinofungidzirwa mutinhimira uye conduction nenyonganiso, kuvapo pathological mazino).
2. Echocardiogram (ejection chikamu moyo kudzidzwa, pakukora masvingo atria uye ventricles, kuvapo kukuvara mavharuvhu kana stenoses, STRUCTURAL zvachinja pericardium), zuva zvichiongororwa ECG (Holter).
3. Chest X-ray.
4. Test pasi mutoro kuona kirasi dzichipfekeka mwoyo kukundikana.
5. Weti kuti mapuroteni kugutsikana.
6. A bvunzo ropa Kutsunga myocardial kukuvara zvezvinangwa.
7. Immunoglobulins M uye G kuti cytomegalovirus uye Epstein - Barr utachiwana.
8. Tinyatsonzwisisa pachiyero natriuretic peptides.

mabatiro

The kurapa iri zviyero dzakadaro:

• zvokudya chengeto munyu maererano mwero mwoyo kutadza;
• dosed mumuviri mutoro, zuva kufamba;
• mushonga mushonga (diuretics, cardiac glycosides, angiotensin-unoponesa enzayemu FIs, Beta-blockers, antiplatelet vamiririri, antiarrhythmics).

Kana akasiya ventricular kukundikana zvimba makumbo pazasi pamabvi? Zvikonzero uye kurumbidza kunorapwa runoonekwa nesu.

itsvo kuzvimba

Kusiyana neizvi, cardiac edema, renal zvinonyanya kutaurwa mangwanani, yakatanga kubva pamusoro pasi. Pakutanga, kuzvimba anopenya, chiso. Pedyo yechipiri hafu yezuva makumbo kuzvimba (shins uye zviziso zvemakumbo), kuzvimba kumeso kushoma raidudzwa. The ganda dzamutswa, kudziya, fossa pashure kudzvanya munwe kuti nokukurumidza kunyangarika. Kuvapo cyanosis hakusi zvemo.

Mano kuzvimba kuna "kutama" - chinokosha chirwere chepfungwa renal zvokurwara.

Ndechokupemberera propensity vawedzere kumanikidzwa.

Kana varwere itsvo kuzvimba gumbo pazasi ibvi, hunokonzera, kurapwa, uye zvimwe mazano muchawana pazasi.

Edema chokuita chepfu uye zvirwere maronda ose glomeruli etsvo, achidzikisa kwavo filtration zvazvingava, Urume chengetedzo, kuwedzera vhoriyamu ropa, zvinoumba ropa anongoerekana plasma kuti munyama nokuda vawedzere vascular permeability uye kuderedzwa ropa oncotic kumanikidzwa nokuda kwazvo kurasikirwa mapuroteni iri weti.

Asi nokuda kwechikonzero zvimba makumbo pazasi pamabvi? Zvinokonzera uye zviratidzo kusagadzikana zvakabatana.

With kukura edema nokuda glomerulonephritis pfungwa ine chokuita dzakamboitika chirwere akadai ihosha huro.

Kana nephritic chirwere kuzvimba zvishoma raidudzwa unhu hematuric syndrome (weti anowana ruvara nyama slops).

Nephrotic chirwere achabatsirwa hombe kurasikirwa mapuroteni iri weti uye edema kunoratidzwa kusvika hydrops.

Chirwere kubva renal edema

• Puroteni iri weti.
• Weti kusabereka.
• Kutsunga streptococcal uye staphylococcal antibodies kuti ropa serum.
• Ultrasonography.
• Kudzora BP.
• Blood bvunzo.

General misimboti kurapwa

The kurapa rinoshandiswa:

• zvokudya kumanikana munyu, mapuroteni uye mvura;
• mubhedha zororo;
• systemic inorwisa mabhakitiriya kurapa;
• kugadzwa diuretics;
• BP;
• antihistamine kurapa;
• Kushandisa nonsteroidal mishonga Anti-anogumbura;
• anticoagulants uye antiplatelet yomuchipatara (nokuti kudzivirira uye microthrombogenesis mberi glomerular kukuvara);
• glucocorticosteroids uye tsitostatitiki pakurapa nephrotic syndrome.

chiropa dhemeji

Sei zvimba makumbo pazasi pamabvi? Zvinokonzera uye zviratidzo zvisingafadzi nezvekufadza izvi zvingaratidza chiropa chirwere.

Rutapudzo mapuroteni usage ari chiropa nokuda zvikuru kukuvara rinenge nayo (magumo padanho hepatitis cirrhosis, mafuta, hepatocellular carcinoma) anowanzonzi pamwe zvikuru kuzvimba kusvikira anasarca. Hepatic edema achiperekedzwa chaizvo kuvaviwa ganda, scratching, dandemutande mutsinga, rirambe richibvira fragility, yellowness ganda uye rinooneka mucous.

Chirwere kuti chiropa chirwere

1. Weti.
2. Kuongorora faeces.
3. Blood pachisara kutsunga zvachose mapuroteni, mimwe hepatic (alt, AST, GGT, bilirubin, alkaline phosphatase), nezvokumwe thymol turbidity bvunzo, padanho urea uye creatinine.
4. US.
5. Nemavhairasi chiropa zvezvinangwa, immunoglobulin M uye G kuti cytomegalovirus uye Epstein - Barr utachiwana.
6. Blood HIV.

varicose mutsinga

Chiizve Ko chinonakidza kuti kuzvimba makumbo pazasi ibvi, ndizvo zvikonzero? Akatsvuka uye peeling ganda inozivikanwa varicose mutsinga pamusoro makumbo, izvo pamwe ne pakunzwa vachirwadziwa marwadzo, kurukutika, kufundumwara makumbo.

In kwazvo maronda zvinobvira trophic ganda kuchinja: dermatitis, maronda, hyperpigmentation. Pamusoro rokuongorora inooneka contoured venous vanodhirowa, kwakaratidzwa edema, kuwedzera uye bulging mutsinga, trophic ganda kuchinja. Asymmetrical kuzvimba, kusiyanisa zvakaoma kwazvo, zvichienderana rwakadini kukuvara mutsinga.

Kuvapo kuzvimba makumbo iri voga zvisikwa uye haina kubatanidzwa nemamwe zvekuchipatara zviratidzo (e. Kupfupika kufema, chikosoro, kuzvimba kumeso uye muviri, nefivhiri uye zvichingodaro.).

Kana uri pamwe varicose makumbo pazasi ibvi pakazvimba hanya, hunokonzera, mapikicha uye mamwe mashoko anobatsira anowanikwa munyaya ino. Zvichida ichi achakubatsira.

Mabatirwo varicose mutsinga

Kuvhiya (flebosklerozirovanie) zvinoshandiswa kwazvo maronda.

Drug kurapwa kunosanganisira kushandisa antiplatelet nevamiririri uye venotonics.

phlebemphraxis

Nokuti vamwe chikonzero, kuzvimba makumbo pazasi ibvi, kuwedzera kune pamusoro zvirwere? Kuzvimba makumbo anogona kuitika kusanganisira phlebothrombosis. kutanga Deep tsinga thrombosis matanho kuitika pasina zviratidzo kuzvimba tsinga rusvingo.

akatsvuka ganda pakazvimba kunoitika chete neapo. The ganda riri vaima, zvakanaka contoured venous muenzaniso. Rinooneka chete kuzvimba njodzi gumbo. Mamirire kuparadzirwa marwadzo mukati yehudyu. Pain zvikuru kwakawedzera apo achifamba.

venous insufficiency

Ngatikurukurei, nokuti chero chikonzero, kuzvimba makumbo pazasi ibvi pavarwere vane chirwere venous insufficiency. Kuramba mberi kurasikirwa pamusoro venous gadziriro iri pamwe zvakafanana, ichibata edema, kunyangarika uye dzinowanikwa mangwanani kusvikira manheru. Akatsvuka ganda shins (zvichienzaniswa iziviswe kuzvimba). Very kashoma inoitika mumwe-mativi kukundwa.

Arthritis uye systemic zvirwere

Marwadzo uye kuzvimba yemajoini chokuita effusion munzvimbo pamwe mhango. Joinhi yakawedzera kukura. Maitiro akatsvuka ganda.

The debut pamusoro yokupara arthritis (Makore 16 okuberekwa) achiperekedzwa rikwanise Pazvinotanga, fivha, okusafunga pachiso, mutumbi, magaro, pamusoro majoini. Zvinokanganisawo zvomukati. For dzinonzi rheumatoid arthritis kunoratidzwa mangwanani kuomarara mu masangano ake.

Hemorrhagic vasculitis Enoki - Schönlein

Kana akataura Hemorrhagic vasculitis Hanoki - Schönlein uye imi muri kunetseka mubvunzo kuti nei kuzvimba rokurudyi pazasi ibvi, zvikonzero tichakurukura pazasi.

Typical kubatana nezvawagara chirwere, asingaurayiwi kurapwa, kuvapo kwazvo neutachiona.

Kana articular chimiro kunoratidzwa: kuzvimba, kuzvimba ibvi mapfundo, tsandanyama marwadzo, Hemorrhagic mapundu pamusoro makumbo, dzakatendereka uye magaro.

hemophilia

Nekuti coagulation zvinetso zvinobvira ropa kupinda tsandanyama uye mapfundo chokuita zviduku kunotevera. Edematous sei vadyi, rakapinza marwadzo pamusoro palpation uye sangano, ganda hyperemia, inopisa kuti ikabatwa.

The panowanikwa kuzvimba makumbo, kwete chokuita kuvapo pathologies

Kana kuzvimba makumbo pazasi mabvi, zvikonzero izvi hakusi chokuita zvokurwara. The panowanikwa edema anogona kukonzerwa:

• doro;
• kunyanya kudyiwa wakawanda zvokudya, zvichikonzera mvura mvura chengetedzo;
• wokudzivirira Kupindura hyperthermia;
• ikawanda mutoro pamusoro netsoka nomuzongoza, chokuita akapfeka zvakanaka shangu dziri kukwirira zvitsitsinho;
• kurega kunotanga uye kuwedzera kumanikidza ari mutsinga nokuda ndakagara mararamiro;
• vasiri edema panguva refu remaoko;
• kufutisa;
• kuzvimba mu pamuviri (kutyisidzira inongova muhombe, kukura nokukurumidza kuzvimba, achiperekedzwa kuda kurutsa, BP uye musoro - kwomumwe eclampsia);
• kuzvimba muna PMS.

Saka munofanira kuva nehanya kana kakawanda makumbo kuzvimba pazasi pamabvi. Zvinokonzera uye mhando edema angava akasiyana.

Somunhu chokudzivirira chiyero inokurudzirwa: kuti normalize muviri uremu uye zvinovaka muviri, kudzivisa doro, kugara uchiongororwa nachiremba, kusanganisira chipimo chemushonga zvaiitwa zuva uye kurovedza muviri nguva dzose. Pasina zvokurwara pamusoro itsvo uye kumwoyo kuti normalize zviri venous water drainage kunobudirira jooga (inverted postures), kuchirapa muviri (maekisesaizi "Birch").

Zvakadini kana kuzvimba makumbo pazasi pamabvi? Zvikonzero pane kurapa, sei kubvisa - vose vanofarira akatarisa dambudziko. Nyaya yedu rinopindura mibvunzo yose iyi.